文章摘要
杨娜娜,赵敏,沈筠筠,苏楠,李婉莺,周伟宏.主动呼吸循环技术对脑卒中合并肺部感染患者的影响[J].中国康复,2020,35(11):572-575
主动呼吸循环技术对脑卒中合并肺部感染患者的影响
Effectiveness of Active Cycle of Breathing Techniques in Treating Patients with Stroke Complicated with Pulmonary Infection
  
DOI:
中文关键词: 主动呼吸循环技术  脑卒中  肺部感染
英文关键词: active cycle of breathing techniques  stroke  pulmonary infection
基金项目:
作者单位
杨娜娜 南京医科大学附属苏州医院(苏州市立医院)江苏 苏州 215000 
赵敏 南京医科大学附属苏州医院(苏州市立医院)江苏 苏州 215000 
沈筠筠 南京医科大学附属苏州医院(苏州市立医院)江苏 苏州 215000 
苏楠 南京医科大学附属苏州医院(苏州市立医院)江苏 苏州 215000 
李婉莺 南京医科大学附属苏州医院(苏州市立医院)江苏 苏州 215000 
周伟宏 南京医科大学附属苏州医院(苏州市立医院)江苏 苏州 215000 
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中文摘要:
      目的:观察主动呼吸循环技术对脑卒中合并肺部感染患者的影响。方法:将52例脑卒中合并肺部感染的患者随机分为观察组和对照组,每组26例。2组患者均给予常规临床治疗,对照组在此基础上增加传统叩拍排痰训练,观察组则在此基础上对患者进行主动呼吸循环技术功能锻炼,2组均训练2周。比较2组患者肺部感染的临床疗效、症状体征缓解时间,治疗前后感染指标,临床肺部感染评分(CPIS)及其6个单项评分(体温,白细胞计数,气管分泌物,氧合指数,X线胸片浸润影,气管吸取物培养或痰培养)。结果:治疗2周后,观察组肺部感染治疗总有效率明显高于对照组 (P<0.05);观察组咳嗽、咳痰、肺部湿啰音持续时间较对照组明显缩短(均P<0.05);2组患者的感染指标(白细胞计数、高敏C-反应蛋白)、临床肺部感染评分及其中的气管分泌物评分和气管吸取物培养或痰培养评分均较治疗前降低(均P<0.05),且观察组明显优于对照组(均P<0.05);2组患者CPIS中的体温评分、白细胞计数评分、X线胸片浸润影评分均较治疗前降低(均P<0.05),但2组组间比较差异均无统计学意义。氧合指数评分2组组间及组内比较差异均无统计学意义。结论:主动呼吸循环技术应用于脑卒中合并肺部感染患者,可提高肺部感染治疗总有效率,改善机体炎症反应,有效控制肺部感染症状体征。
英文摘要:
      Objective: To observe the influence of active cycle of breathing techniques on stroke patients complicated with pulmonary infection. Methods: A total of 52 patients with stroke complicated with pulmonary infection were randomly divided into observation group and control group, with 26 cases in each group. The patients in the two groups were given conventional clinical treatment. Additionally, the control group was given traditional tapping and sputum elimination training, and the observation group was given active cycle of breathing techniques training. All patients were trained for two weeks. The clinical efficacy of pulmonary infection, the remission time of symptoms and signs, the indicators of infection before and after treatment, the clinical pulmonary infection score (CPIS) and 6 dimensions within the CPIS score (temperature, white blood cell count, tracheal secretions, oxygenation index, X-ray chest radiograph infiltration, trachea from training or sputum culture) were compared between the two groups. Results: After 2-week treatment, the total effective rate of pulmonary infection treatment in the observation group was significantly higher than that in the control group (P<0.05). The duration of cough, sputum and lung moist rale in the observation group was significantly shorter than that in the control group (P<0.05). The indicators of infection (white blood cell count, high sensitivity c-reactive protein), clinical pulmonary infection score, tracheal secretions score and tracheal aspirate culture score or sputum culture score in both groups were significantly improved as compared with those before treatment (all P<0.05), more significantly in the observation group than in the control group (P<0.05). The white blood cell count scores and chest X-ray infiltration evaluation scores of patients in the two groups were significantly improved as compared with those before treatment (P<0.05), but there were no statistically significant differences between the two groups. There was no significant difference in oxygenation index scores between and within the two groups. Conclusion: The application of active cycles of breathing techniques in patients with stroke complicated with pulmonary infection can improve the total effective rate of treatment of pulmonary infection, improve the human inflammatory response, and effectively control the symptoms and signs of pulmonary infection.
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